Provider Demographics
NPI:1578672739
Name:ALEMAN, MICAELA (MD)
Entity Type:Individual
Prefix:
First Name:MICAELA
Middle Name:
Last Name:ALEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 MEDICAL ARTS ST
Mailing Address - Street 2:STE. 1A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3376
Mailing Address - Country:US
Mailing Address - Phone:512-476-9850
Mailing Address - Fax:
Practice Address - Street 1:2911 MEDICAL ARTS ST
Practice Address - Street 2:STE. 1A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3376
Practice Address - Country:US
Practice Address - Phone:512-476-9850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0598208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113480104OtherMEDICAID INDIV
1093995714OtherNPI GROUP
TX8845B6OtherMEDICARE INDIV
1578672739OtherNPI INDIV
TX3469HMOtherBCBS GROUP
TX8Z1915OtherBCBS INDIV
TX157730601Medicaid
TX113480104OtherMEDICAID INDIV
TX157730601Medicaid